MEDICARE: KPAR INVESTMENTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	7817	OK

General Provider Information

NPI Number	:	1336195312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KPAR INVESTMENTS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 218
Second Line	:
City	:	HUGO
State	:	OK
Zip	:	74743-4250
Country	:	US
Telephone Number	:	580-317-9333
Fax Number	:	580-317-9366

Provider Business Practice Location Address
First Line	:	2816 E JACKSON ST STE B
Second Line	:
City	:	HUGO
State	:	OK
Zip	:	74743-4250
Country	:	US
Telephone Number	:	580-317-9333
Fax Number	:	580-317-9366

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. ANDRA ASHLEY RAULSTON
Credential	:	RN
Telephone Number	:	580-317-9333

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	05/14/2013

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